AFFIDAVIT TO SUPPORT THE SAN FRANCISCO
NEW JOBS TAX CREDIT
Business Tax ID No.
Certificate No.
__________________
______________
A.
Our fixed place of business is located in San Francisco at the following
address:
__________________________________________________________________
__________________________________________________________________
B.
The ______________ new jobs for which we are claiming tax credit are
permanent and were created on or after July 1, 1993.
C.
We understand that the facts supporting our application for the New Jobs
Tax Credit, as set forth in the information contained herein is true to the best
of our knowledge and belief.
Print Name:
Title:
Signature:
Date: ______/______/______
Business Phone: (
)
17
Rev. 1-12-01
jcaffidavit